Contoh Surat Tugas Tkhi.docx

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Lampiran I

KOP SURAT INSTANSI SURATTUGAS No:

.

Yang bertanda tangan di bawah ini : Nama NIP

(diisi nama pejabat yang menugaskan)

Pangkat/Golongan Jabatan Memberikan tugas kepada : Nama NIP

(diisi nama calon peserta TKHl)

Pangkat/Golongan Jabatan Dalam Rangka

Tanggal Tempat

Pembekalan Terintegrasi Tim Kesehatan Haji Indonesia (TKHI) Kloter di embarkasi

( diisi sesuai tanggal pembekalan) (diisi sesuai tempat pembekalan)

Dikeluarkan di : Pada Tanggal

(Tanda tangan yang memberikan tugas dan cap instansi ealon peserta)

(

NIP

···-·····

)

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